| NPI | 1609017599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH ARRN.10606) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA10606-NP) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2024-02-21 |